MEDICARE: DR. GREGORY F. DAVIES DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	N003180	NY
2	213ES0000X	Sports Medicine Podiatrist	N003180	NY
3	213ES0103X	Foot & Ankle Surgery Podiatrist	N003180	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043206923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY F. DAVIES DPM

Provider Business Mailing Address
First Line	:	175 JERICHO TPKE
Second Line	:	SUITE 300
City	:	SYOSSET
State	:	NY
Zip	:	11791-4532
Country	:	US
Telephone Number	:	516-496-7676
Fax Number	:	516-496-0422

Provider Business Practice Location Address
First Line	:	175 JERICHO TPKE
Second Line	:	SUITE 300
City	:	SYOSSET
State	:	NY
Zip	:	11791-4532
Country	:	US
Telephone Number	:	516-496-7676
Fax Number	:	516-496-0422

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	09/23/2010

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Directions to “ DR. GREGORY F. DAVIES DPM” Practice Location

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